Insurance Billing Supervisor I - Finance And Business

The County of Riverside's University Health System - Public Health is seeking candidates to fill a regular Insurance Billing Supervisor I position for the Finance and Business Department. Under direction, the incumbent will be responsible for planning, organizing, and supervising staff engaged in processing and billing patients and fiscal intermediaries for health/medical services rendered to patients; daily review of claims and troubleshooting of claims in claim edit and daily/weekly reports for management; and to do other work as required. This position is located in Riverside.

Bilingual candidates with the following professional experience and/or knowledge are highly desired:

• EPIC

• Medi-Cal billing fees for services

• CPT codes

• Keeping track of changes in billing procedures and ensuring staff and management are aware

• Staying connected and informed with organizations, groups, and agency

• Produce reporting

• Completing form CMS1500 and claim requirements

This position has a 9/80 schedule (the 9/80 day off will be determined at a later time).

Meet the team! RUHS Website•Plans, supervises, coordinates, performs, and evaluates the work of a specialized clerical unit performing patient and third party billing; supervises the preparation, completion, and review of the billing to third party fiscal intermediaries, such as private insurance companies, Medi-Cal, Medicare, Champus, Veterans Administration, State and Federal health insurance and grant programs as well as private paying patients.

• Reviews, analyzes, evaluates, and monitors various fiscal reports and remittance advises to assure maximum reimbursement from third party intermediaries.

• Confers with insurance representatives, State agency staff, and others on billing matters and answers questions that involve searching for and abstracting technical data and detailed explanation of regulations, policies, or procedures and refers only matters requiring policy decisions to supervisor.

• Discusses with, assists, and advises other departmental personnel involved with patient services on matters relating to the processing of patient charge documents and requirements of various billing regulations, policies, and procedures.

• Coordinates with other departmental sections to assure timely and accurate flow of information necessary to patient account billing; reviews and coordinates EDP error edit system to assure the recycling of charge errors.

• Assists in the development and implementation of new policies and procedures related to patient account billing; supervises the billing control filing system.

• Conducts or directs the orientation of new staff members and the training of staff members; may provide orientation and training to clinic clerical personnel relative to billing systems and procedures.Experience: Two years of third party medical billing experience preferably in a hospital or health care agency.

Knowledge of: Principles and techniques of supervision and training; organization and operation of a hospital or health agency billing unit; third party insurance plans and State and Federal government regulations, policies and procedures regarding Medi-Cal, Medicare, Short-Doyle, and health program billing.

Ability to: Plan, organize, supervise, and train subordinate staff; understand and interpret the rules, regulations, policies, and procedures involved with third party billing; understand and interpret rules, regulations, policies, and procedures and apply them to specific situations; establish and maintain effective working relations with a variety of individuals.

Veteran's Preference

The County has a Veterans Preference Policy applicable to new hires. To qualify, upload a copy of your (or your spouse's) Member-4 Form DD-214 indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. The Veterans Preference Policy, C-3 is available here:  https://rivcocob.org/board-policies

Reasonable Accommodations

The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation, please visit the Disability Access Office web page located at: https://rc-hr.com/disability

Proof of Education

If using education to qualify or when requested by the recruiter, upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services (NACES) or Association of International Credential Evaluators, Inc. (AICE).

Equal Opportunity Employer

The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition (cancer and genetic characteristics), genetic information, or denial of medical and family care leave, or any other non-job-related factors.

Pre-Employment

All employment offers are contingent upon successful completion of pre-employment requirements including a criminal background investigation, which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A pre-employment physical examination and background check may be required.

Probationary Period

As an Approved Local Merit System, all County of Riverside employees, except those serving "At Will," are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.

General Information

Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.

Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume, as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.

Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For additional instructions on the application process, examinations, Veteran's preference, preemployment accommodation or other employment questions, please refer to our web site, www.rc-hr.com.

If you are experiencing technical problems, you may contact the governmentjobs.com applicant support desk Monday through Friday, 6 am to 5 pm Pacific Time at support@governmentjobs.com or toll-free 1-855-524-5627.

Questions regarding this recruitment? Please contact Raven Padilla via email at rpadilla@rivco.org.